Characteristics and Outcome of Paediatric Long Bone Fractures Managed in a University Teaching Hospital

Elachi, I C; Yongu, W T; Kortor, JN; Mue, D D; Abah, R O

doi:10.46912/jbrcp.51

Cited by 4 publications

(7 citation statements)

References 16 publications

(23 reference statements)

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“…Our study showed involvement of the tibia, fibula, radius, and ulna, in descending order of occurrence. The predominance of tibial fractures in our study is similar to the other report by Omoke & Ekumankama in Abakiliki [24], and other locations [25,26]. However, it differs from another studies where the radius was commoner [27], and the femur in some other reports [28][29][30].…”

Section: Discussionsupporting

confidence: 85%

Anatomical Region and Outcome of Fractures in the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

Aaron¹,

Ijah²,

Obene³

2022

CCR

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Background: The knowledge of pattern of illness provides an insight to the health or otherwise of a society, useful for planning and allocation of resources. Fractures are common emergency surgical presentations in our practice, and patients are sometimes unable to pay for the cost of fracture care resulting in a dynamic traffic for alternative care. This study therefore aims at describing the anatomical region and outcome of fractures seen at the Surgery Department of the Rivers State Teaching Hospital, from 2016 to 2020. Materials and Methods: A descriptive retrospective cross-sectional study was carried out in Port Harcourt, Nigeria, using admission and discharge registers to identify all patients with fractures at the Surgery Department of the Rivers State University Teaching Hospital, from 2016 to 2020. The collected data was entered into Excel Spreadsheet, and tabulated. Results: A total of 223 patients had fractures involving different bones. The male to female ratio was 1.9: 1. The mean age of the patients was 40.53, and the age ranges 30 -39 years (38), 40 -49 years (44), and 50 -59 years (33) were more involved in the fracture cases. There were more fractures of the tibia (17.3%) and fibula (16.0%) within the five-year period. Out of the total of 223 patients who had fractures, 159 (71.3%) were admitted to the wards, treated and discharged home. Twenty-five patients (11.2%) signed against medical advice. Thirty-four (15.2%) absconded from admission, while 5 (2.2%) died from complications of the fractures. Conclusion: Fracture is a common surgical emergency in our practice with male preponderance. Most of the patients were treated and discharged. However, about a quarter of the patients left the hospital before treatment could be completed.

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Section: Discussionsupporting

confidence: 85%

Anatomical Region and Outcome of Fractures in the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

Aaron¹,

Ijah²,

Obene³

2022

CCR

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“…The reason for this may be due to the attempts at breaking the falls in such children. 20 This observation is different from the outcome of the study done in Enugu and Makurdi both in Nigeria which showed femur fracture and tibia fracture respectively as the most commonly fractured bones in children. Valerio et al and Agarwal in their study found that the distal radius was most commonly fractured bone.…”

Section: Discussioncontrasting

confidence: 61%

“…Other studies have also shown that fall is the most common cause of fractures in young people however previous study done in Nigeria by Elachi et al and Nwadinigwe et al showed that road traffic crash is the main cause of fracture. 9,11,20 The observation in our study may be due to the fact that most of our patients are below the age of ten years and at this stage of their development they want to explore their environment which may predispose them to falls. 20 Also, in developing countries, most parents go to work and leave their younger children (infants and toddlers) under the care of their elder siblings as such they become predispose to the incidence of falls.…”

Section: Discussionmentioning

confidence: 92%

“…9,11,20 The observation in our study may be due to the fact that most of our patients are below the age of ten years and at this stage of their development they want to explore their environment which may predispose them to falls. 20 Also, in developing countries, most parents go to work and leave their younger children (infants and toddlers) under the care of their elder siblings as such they become predispose to the incidence of falls. 18 Road traffic crash accounted for 23.15% of the fractures.…”

Section: Discussionmentioning

confidence: 92%

“…Elachi et al in the study on characteristics and outcome of pediatric long bone fractures also observed a higher preponderance of closed fractures in this age group. 20 The most common fracture pattern is transverse fracture. Peter warlock and his colleague found green stick fracture and epiphyseal injury as the most common fracture patterns in their study.…”

Section: Discussionmentioning

confidence: 99%

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Incidence of pediatric long bone fractures at the university college hospital Ibadan

et al. 2020

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Background: Individuals within the paediatric age group sustain different types of fractures, as such the need to determine the incidence and pattern of long bone fractures among patients 16 years and below admitted through the different wards of admittance of the university college hospital Ibadan.Methods: This was a retrospective hospital-based study involving patients 16 years and below admitted through the accident and emergency department, the children emergency department, the neonatal ward and labour ward of the hospital between January 2013 and December 2018 at the university college hospital Ibadan. Using a proformal completed from the electronically stored data that captured the patient’s history, examination findings, X-ray film and treatment offered which was collected on a weekly basis.Results: 25.13% of the patients reviewed within the study period were paediatric patients. A total of 337 paediatric patients were reviewed. There were 124 female and 213 males with ratio (F:M-1:1.7). The fractures were mostly secondary to fall and road traffic crash accounting for 68.54% and 23.15% respectively. 65.12% of the fractures involve the bone of the upper limbs while 34.98% occur in the bones of the lower limbs. The radius and the ulnar bones are the most affected. Transverse fracture is the most common pattern observed.Conclusions: More than 20% of the reviewed population was in the paediatric age group and the radius and ulnar bones were the most commonly fractured bone in this age group. They usually follow trivial falls.

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Epidemiology of fractures of the humerus at the university college hospital Ibadan

et al. 2023

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Background: The humerus is one of the long bones of the upper limb. It may be fractured following traumatic or non-traumatic injury. Humeral shaft fractures account for 1-3% of all fractures. However supracondylar fracture of the humerus is more common amongst children accounting for about 16% of all pediatric fractures. Trauma especially from falls especially in both children and geriatric populations has been known to cause humeral fractures. Other causes had been documented also. This study was aimed at determining the incidence, cause and pattern of humeral fracture in patients who presented to the accident and emergency department of the University College Hospital, Ibadan, Oyo state, Nigeria. Methods: Patients with radiologically confirmed humeral fractures who presented to the accident and emergency department of the hospital between January 2015 and December 2019 were included in the study. Data was obtained from the electronically stored data at the department of orthopedic surgery and trauma university college hospital Ibadan using a proforma and the data generated was analyzed using Statistical Package for the Social Sciences version 16. Results: A total of 167 patients with humeral fractures were seen during the study period. Most of these patients are within the age range of 0-15 years. Male to female ratio was 1.7:1. Most humeral fractures were due to fall and the distal humerus was most commonly affected. Conclusions: Humeral fractures occur in younger people and efforts should be geared towards preventing this trend in younger population.

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Characteristics and Outcome of Paediatric Long Bone Fractures Managed in a University Teaching Hospital

Cited by 4 publications

References 16 publications

Anatomical Region and Outcome of Fractures in the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

Anatomical Region and Outcome of Fractures in the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

Incidence of pediatric long bone fractures at the university college hospital Ibadan

Epidemiology of fractures of the humerus at the university college hospital Ibadan

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